Vik Management, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PCY014 Issued in GU

Legal business name

VIK MANAGEMENT, INC

Doing business as

ITC Pharmacy I

Practice address

590 S Marine Dr
Suite 126
Tamuning, GU 96913-3507

Phone

(671) 646-6395

Fax

(671) 646-4332

NPI assigned

Oct 19, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julius Santos Fernando, RPHNPI 1164595625

Title

Pharmacist

Phone

(671) 646-6395

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ITC Pharmacy I Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julius Santos Fernando, RPH

  • Pharmacist
  • Tamuning, GU
  • NPI 1164595625
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356330724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11468",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969311468",
            "telephone_number": "671-646-6395",
            "fax_number": "671-646-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S MARINE DR",
            "address_2": "SUITE 126",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133507",
            "telephone_number": "671-646-6395",
            "fax_number": "671-646-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIK MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "671-646-6395",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GU",
            "license": "PCY014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITC Pharmacy I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tom Serafica Veloria, D.M.D.
• Stephanie Velsmid, RN CNM
• Betty Jo Vercio, RN, MS, CDE
• William P. Vercio, M.D.
• Vik Management, Inc (ITC Pharmacy II)
• Vik Management, Inc. (ITC Pharmacy I)
• Vik Management, Inc. (ITC Pharmacy II)
• Jonathan Visscher, D.D.S.
• Nam Vo, PHARMD.
• Kimberly R Walton, MD

• Clinic/Center in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.